Organization Active NPI

Iic

  • Community/Behavioral Health Agency
  • Woodbridge, NJ
National Provider Identifier
1649065749
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IIC
Practice address
284 Bunns LN
Woodbridge, NJ 07095-1621
Phone
(732) 333-7101
NPI assigned
Apr 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eliecia EasonNPI 1477399012
Title
Intensive in Community
Phone
(732) 333-7101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

284 Bunns LN
Woodbridge, NJ 07095-1621

Mailing address

284 Bunns LN
Woodbridge, NJ 07095-1621

National Provider Directory

National Provider Directory
Tax ID family
Iic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1649065749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BUNNS LN",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 BUNNS LN",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951621",
            "telephone_number": "732-333-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "EASON",
        "authorized_official_first_name": "ELIECIA",
        "authorized_official_title_or_position": "INTENSIVE IN COMMUNITY",
        "authorized_official_telephone_number": "732-333-7101"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.